MARK RICHARD BARE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****48

License Status

NOT RENEWED

Business

First Name

MARK RICHARD

Last Name

BARE

Suffix

DDS

Business Name

MARK RICHARD BARE DDS

Original Issue Date

07/20/1998

Effective Date

09/10/2009

Expiration Date

09/30/2012

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

11/14/2012